Wildy Metellus, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH032628 Issued in GA

Practice address

2345 Peachtree Rd NE # 2345
Atlanta, GA 30305-4147

Phone

(404) 233-2101

NPI assigned

Dec 22, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1124615422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 PEACHTREE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054147",
            "telephone_number": "404-233-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 PEACHTREE RD NE # 2345",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054147",
            "telephone_number": "404-233-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METELLUS",
        "first_name": "WILDY",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61841",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH032628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maren J Metcalf, LCSW
• Contessa Direan Metcalfe, M.D.
• Drew Metcalfe, M.D.
• Nina Durchfort Metcalfe, M.D., M.S.
• Ariana Metchik, M.D.
• Lenice Metelo, LPC
• Nicholas Metheny, PHD, MPH, RN
• James Arthur Methvin, D.C.
• Metris True and Noble Minds LLC.
• Metro Atlanta Access Center LLC

• Pharmacist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.